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PLRMIT APPLICATION <br /> OL CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 D <br /> 425-257-8810- FAX 425-257-8857 <br /> -IU 00 <br /> SITE ADDRESS PARCEL TAX I.D.0 PERMIT x <br /> -1< 69 S+ q717 0 0 0 -Out;- <br /> LEGAIJ LOT NO. JBLOCK TRACT <br /> DESC. T a- x- A <br /> OWNER ADDRESS ZIP PHONE <br /> GRA,o+ .'�Ofo—boB Y <br /> TNI,o�-F P.o, boX 6q m„r;lam mar <br /> TENANT NAME CONTACT NAMEn ' PHONE <br /> Gr (S/1FA TfN�O�T OqDG. we-953 `/ <br /> CONTRACTOR ^ ADDRESSZIP CONTR.LICENSE 0 <br /> Tra�tio�� Co. P.O. (3ox 64 MUk:,lf%*V 98=.75 <br /> PHONE �( D 75WHOC-40V 07 <br /> PROPOSED USEOFBUILDING I PERMIT 1 ) Combination ation �j Plumbing el WORK Alteration dition <br /> HEAT SOURCE <br /> TYPE B Demolition u Sign TYPE New I �UKn1 Gas <br /> Sprinkler Repalr/Malnl Other <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION <br /> NeLu <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET _ A/C-AMANDLING UNITS <br /> BATHTUB I FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> _ LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN GAS FIREPLACE <br /> _ FLOOR DRAIN _ GAS RANGE <br /> _ BACKFLOW PREVENTER GAS PIPING <br /> _ SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME 10 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE S1ATE <br /> CONTRAC ORS LAW 18.27 RCW AND 296.200 WAIT. <br /> 11 i- n�i1 a-6-02 `} 1� oc. adS <br /> SlpnAlure of Owneri onlraclon odtod Agent ale I/ <br /> L <br />